Showing posts with label healing. Show all posts
Showing posts with label healing. Show all posts

Total Knee Replacement and Rehabilitation: The Knee Owner's Manual Review

Total Knee Replacement and Rehabilitation: The Knee Owner's Manual
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Total Knee Replacement and Rehabilitation: The Knee Owner's Manual ReviewTotal Knee Replacement & Rehabilitation is written by a surgeon (Daniel Brugioni) and a physiotherapist (Jeff Falkel), both well-qualified and specialists in this topic. Dr Falkel's own bilateral knee replacement - both knees at the same time - was an eye-opener to him and changed his own approach to managing knee replacement patients.
The number of people having total knee replacement is due to massively increase as post-war baby boomers start to hit their sixties, but this is unfortunately occurring at a time when health insurance companies around the world are tightening up on cost containment. The authors recognise that rehabilitation after total knee replacement is long, and insurance companies already do not fund adequate physiotherapy time. This book was written to support the knee replacement patient with practical advice for a full year after surgery.
The first two chapters give an overview of arthritis and current approaches to slowing its progression and improving quality of life. Knee replacement is discussed in some detail - basic design considerations, bilateral knee replacement and how to go about finding a competent surgeon. Question and answer sessions complete each chapter.
There is a useful pre-surgery chapter, advising on getting your home ready for your return from hospital and giving useful exercise regimes for building up strength to facilitate the use of crutches or a walker after surgery. What to expect once you arrive at the hospital and on the day of your operation are covered in some detail, but detail of the surgical process itself has been deliberately minimised. Potential complications are, however, covered in an appendix.
From this point on the book really fleshes out, and focuses on rehabilitation, taking the reader day by day through carefully chosen exercise regimes, all explained and fully illustrated. Through the early days on the ward, then home, and beyond are all covered in significant detail, using for the greater part readily available household items as rehabilitation aids.
There are several sections on scar management. Bathroom aids are discussed. Range-of-motion exercises, strengthening exercises, balance exercises, endurance exercises - all are discussed and illustrated, and carefully graduated as time progresses, right the way to a full return to normal activities. Question and answer sessions accompany each chapter, and an index of the exercises is available in its own appendix for ready reference.
This book will be extremely useful to anyone contemplating total knee replacement.
Dr Sheila Strover
http://www.kneeguru.co.ukTotal Knee Replacement and Rehabilitation: The Knee Owner's Manual Overview

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Stronger After Stroke: Your Roadmap to Recovery Review

Stronger After Stroke: Your Roadmap to Recovery
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Stronger After Stroke: Your Roadmap to Recovery ReviewStronger After Stroke is motivational, inspirational, insightful, practical and all inclusive! Every stroke survivor should read this book. The author states that if after your stroke, you've accepted your decline the book isn't for you. It's for survivors who want to get better!
It's refreshing to read a book that focuses on recovery rather than adapting one's lifestyle to the stroke. The author states throughout the book that the most important person in the recovery process is the survivor and that it takes hard work for possibly years. One must persevere with patience and never give up. Our brains have the ability to rewire but it takes repetitive, meaningful movements for that rewiring to take place. Levine explains how the brain works and how recovery works with specific tasks to aid in recovery.
We have to take charge of our own recovery. Levine suggests we need to be researchers and read up on the latest stroke recovery research and lists websites to do that research. He also believes survivors would benefit from clinical trials. A large portion of the book is about different treatment options. I really like the author's descriptions of so many varied treatment options. There are wonderful suggestions of what to do in addition to regular therapy.
Another large portion of the book has specific exercises and strategies for recovery that can be done at home. They are practical, easily understood and great suggestions. The author states that recovery takes motivation - people who are motivated make progress but one has to stay motivated when the going gets tough. Setting goals, measuring progress and celebrating every step of progress is crucial and writing it down on a calendar helps us keep track. I love the way he explains terms stroke survivors hear but may not understand. He even included a glossary in the back of the book.
Levine provides tips for caregivers, suggests ways to prevent another stroke, and explains spacsticity and what to do about it. He discusses pros and cons of medications and what to talk about with your doctor. We all deserve quality of life and the author suggests several ways to achieve that but emphasizes it takes a lot of hard work and dedication.
Lastly, Levine discusses many of the recovery machines on the market. He lists the names and websites and what each machine does. This is extremely helpful and a must for stroke survivors. Clinical trials are available and free!
Stronger After Stroke is an all-inclusive book, as you can see. I'm a stroke survivor and have done just about everything Levine suggests. It's been three years and I have gained most everything back. It took 18 months of therapy every day to get my right hand working and was well worth it. His book is an invaluable tool that every stroke survivor, caregiver, physical therapist, occupational therapist and doctor should read. The book is a God-send.
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